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A core outcome set for clinical studies of adhesive small bowel obstruction
Author(s) -
Matthew J. Lee,
Stephen J. Chapman,
Sue Blackwell,
Robert Arnott,
Richard P. G. ten Broek,
Conor P. Delaney,
Nagendra N. DudiVenkata,
Rebecca Fish,
Daniel Hind,
David Jayne,
Katie Mellor,
Anurag Mishra,
Greg O’Grady,
Tarik Sammour,
Gabrielle Thorpe,
Cameron I. Wells,
Albert Wolthuis,
Nicola Fearnhead,
S Adegbola,
Sachin Ananth,
Giulia Bagaglini,
Andrew J. Beamish,
N Bibby,
Natalie S Blencowe,
Lenette Brown,
J.P. Bulte,
Julie Carver,
C Challand,
Shirley Chiu Wai Chan,
Lindsey Chisholm,
Daniel Clerc,
Peter Coe,
Daniel Cox,
Alison Culkin,
Sarah Daniels,
Aleksander Dawidziuk,
Amanda Dawson,
Thomas M Drake,
Daniel J. Drayton,
Sarah Duff,
Eloy EspínBasany,
Martin D.D. Evans,
Mohammed FakhrulAldeen,
Nigel Fisher,
Sahara FleetwoodBeresford,
Suzannah Forshaw,
Jon Gani,
Sandra Haddon,
Jennie Han,
Jack Helliwell,
Philip Herrod,
Marianne Hollyman,
James Hopkins,
Jovan Juloski,
Celia Keane,
Yick Ho Lam,
Lisa L. Love,
Aoife Lynch,
Giles Major,
Andrew Maw,
Frank McDermott,
James McVeigh,
Asif Mehraj,
Mónica Millán,
Helen Mohan,
Susan Moug,
Maureen Naylor,
R. W. Parnell,
Francesco Pata,
Adam PeckhamCooper,
Gianluca Pellino,
Peter Pockney,
Victoria Proctor,
Arjun Rajagopalan,
Jonathan Robinson,
Martin Rutegård,
Arin Saha,
Kapil Sahnan,
A Sayers,
Leandro Siragusa,
Neil Smart,
David Swain,
J. M. THOMPSON,
Linda Tutty,
P G Vaughan-Shaw,
Danilo Vinci,
Ravi Vissapragada,
Katharine R. Wheelband,
A Williams,
Mohammed U. Younis
Publication year - 2022
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/codi.16158
Subject(s) - medicine , delphi method , psychological intervention , likert scale , stakeholder , set (abstract data type) , family medicine , nursing , statistics , public relations , mathematics , political science , computer science , programming language
Aim Adhesive small bowel obstruction (ASBO) is a common surgical emergency condition. Research in the field is plentiful; however, inconsistency in outcome reporting makes comparisons challenging. The aim of this study was to define a core outcome set (COS) for studies of ASBO. Methods The long list of outcomes was identified through systematic review, and focus groups across different geographical regions. A modified Delphi consensus exercise of three rounds was undertaken with stakeholder groups (patients and clinicians). Items were rated on a 9‐point Likert scale. Items exceeding 70% rating at 7–9 were passed to the consensus meeting. New item proposals were invited in round 1. Individualised feedback on prior voting compared to other participants was provided. An international consensus meeting was convened to ratify the final COS. Results In round 1, 56 items were rated by 118 respondents. A total of 18 items reached consensus, and respondents proposed an additional 10 items. Round 2 was completed by 90 respondents, and nine items achieved consensus. In round 3, 80 surveys were completed; one item achieved consensus, and five borderline items were identified. The final COS included 26 outcomes, mapped to the following domains: Interventions, need for stoma, septic complications, return of gut function, patient reported outcomes, and recurrence of obstruction, as well as mortality, failure to rescue, and time to resolution. Conclusion This COS should be used in future studies in the treatment of adhesive SBO. Further studies to define a core measurement set are needed to identify the optimum tools to measure each outcome.